Presurgical unilateral cleft lip anthropometrics: implications for the choice of repair technique.


BACKGROUND:It has been stated that height of the lateral lip is difficult to obtain with the rotation advancement repair only when the lateral lip is short in both its vertical and horizontal dimensions. The authors studied preoperative cleft lip anthropometry to determine the frequency of the "geometrically unfavorable lateral lip"--short in both vertical and transverse dimensions. METHODS:Direct caliper measurements were taken by a single observer of the heights and of the transverse lengths in 100 consecutive patients (age ≥3 months and <6 months) with unilateral cleft lip (51 complete and 49 incomplete) who were under general anesthesia just before cleft lip repair. RESULTS:In 75 patients, the height of the lateral lip was less than that of the noncleft side; on average, 2.1 mm less than (or 82 percent of) the noncleft side (range, 50 to 133 percent). In 86 patients, the lateral lip transverse length was less than on the noncleft side; on average, 2.7 mm less than (or 86 percent of) the noncleft side (range, 66 to 114 percent). Of the 75 patients with height deficiency, 63 patients also had transverse length deficiency. There were 19 patients who exhibited vertical height deficiency of 4 mm or more (>1 SD from the mean), and 79 percent of these patients with extreme height deficiency also exhibited transverse length deficiency. CONCLUSIONS:The lateral lip is frequently short in both vertical and transverse dimensions. These findings warrant consideration for the use of repairs other than rotation advancement (and its variations) in the setting of lateral lip deficiency.


Plast Reconstr Surg


Boorer CJ,Cho DC,Vijayasekaran VS,Fisher DM




Has Abstract


2011-02-01 00:00:00














  • Comparison of the Pedicled Latissimus Dorsi Flap with Immediate Fat Transfer versus Abdominally Based Free Tissue Transfer for Breast Reconstruction.

    abstract:BACKGROUND:Abdominally based free tissue transfer (FTT) and latissimus dorsi and immediate fat transfer (LIFT) procedures are both fully autologous options for breast reconstruction. The former is specialized and requires comfort with microsurgical technique, whereas LIFT combines a common set of techniques familiar to...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Black CK,Zolper EG,Economides JM,Abadeer A,Fan KL,Song DH

    更新日期:2020-08-01 00:00:00

  • From birth to maturity: a group of patients who have completed their protocol management. Part I. Unilateral cleft lip and palate.

    abstract::The optimal management of the cleft lip and palate patient from birth to completion of treatment presents a formidable challenge to the plastic surgeon and the associated health care system. The multidisciplinary team approach for the management of these patients is widely accepted. However, a paucity of literature ex...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Schnitt DE,Agir H,David DJ

    更新日期:2004-03-01 00:00:00

  • Megavolume autologous fat transfer: part II. Practice and techniques.

    abstract::The authors describe the techniques that use the principles of fat grafting to allow them to successfully graft megavolumes (250-ml range) of autologous fat into breasts. The Brava external volume expansion device preoperatively increases the volume and vascularity of the recipient site. Low-pressure liposuction and m...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Khouri RK,Rigotti G,Cardoso E,Khouri RK Jr,Biggs TM

    更新日期:2014-06-01 00:00:00

  • Reducing Decisional Conflict and Enhancing Satisfaction with Information among Women Considering Breast Reconstruction following Mastectomy: Results from the BRECONDA Randomized Controlled Trial.

    abstract:BACKGROUND:Deciding whether or not to have breast reconstruction following breast cancer diagnosis is a complex decision process. This randomized controlled trial assessed the impact of an online decision aid [Breast RECONstruction Decision Aid (BRECONDA)] on breast reconstruction decision-making. METHODS:Women (n = 2...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Sherman KA,Shaw LE,Winch CJ,Harcourt D,Boyages J,Cameron LD,Brown P,Lam T,Elder E,French J,Spillane A,BRECONDA Collaborative Research Group.

    更新日期:2016-10-01 00:00:00

  • Bioactive glass hydroxyapatite in fronto-orbital defect reconstruction.

    abstract:BACKGROUND:Synthetic bioactive ceramics and glasses have osteoconductive properties. These materials are capable of chemically bonding to the bone tissue. In addition, special bioactive glasses do not favor microbial growth. In this study, the clinical outcome of bioactive glass and hydroxyapatite in head and neck surg...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Aitasalo KMJ,Peltola MJ

    更新日期:2007-12-01 00:00:00

  • The impact of chemotherapy and radiation therapy on the remodeling of acellular dermal matrices in staged, prosthetic breast reconstruction.

    abstract:BACKGROUND:An acellular dermal matrix will typically incorporate, in time, with the overlying mastectomy skin flap. This remodeling process may be adversely impacted in patients who require chemotherapy and radiation, which influence neovascularization and cellular proliferation. METHODS:Multiple biopsy specimens were...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Myckatyn TM,Cavallo JA,Sharma K,Gangopadhyay N,Dudas JR,Roma AA,Baalman S,Tenenbaum MM,Matthews BD,Deeken CR

    更新日期:2015-01-01 00:00:00

  • Long-term effect on donor sites after components separation: a radiographic analysis.

    abstract:BACKGROUND:The long-term implications of components separation for the lateral oblique and rectus muscles remain unknown. The authors hypothesized that recreation of the tendinous insertion of the linea alba through components separation results in expansion of the rectus muscle with potential atrophy of the external o...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hicks CW,Krpata DM,Blatnik JA,Novitsky YW,Rosen MJ

    更新日期:2012-08-01 00:00:00

  • Shave excision of superficial solar skin lesions.

    abstract::Shave excision is a useful technique for the treatment of superficial solar lesions. The most common of these is the solar keratosis, which can be a red or gray scaling lesion. This can at times be difficult to differentiate from the superficial basal cell carcinoma or squamous cell carcinoma or their more infiltratin...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Emmett AJ,Broadbent GD

    更新日期:1987-07-01 00:00:00

  • The measure of face-lift patient satisfaction: the Owsley Facelift Satisfaction Survey with a long-term follow-up study.

    abstract:BACKGROUND:Patient satisfaction is a major factor in determining success in aesthetic surgery. To the authors' knowledge, a long-term study measuring patient satisfaction with face-lift surgery has not been published. The authors' study was designed to measure patient satisfaction with the overall experience of a face ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Friel MT,Shaw RE,Trovato MJ,Owsley JQ

    更新日期:2010-07-01 00:00:00

  • The use of nasal splints in the primary management of unilateral cleft nasal deformity.

    abstract::Primary surgical correction of the cleft lip nasal deformity is routinely performed at the Craniofacial Center at Chang Gung Memorial Hospital. Over time, however, there is a tendency for the lower lateral cartilage to retain its memory and, subsequently, recreate the preoperative nasal deformity. Therefore, it is cur...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Yeow VK,Chen PK,Chen YR,Noordhoff SM

    更新日期:1999-04-01 00:00:00

  • Surgical treatment of mammary ptosis without hypertrophy.

    abstract::A new method of mastopexy is presented which we have used on 60 cases during 7 years, with the best results we have obtained. We believe it preserves the blood supply and sensation of the areola-nipple better than the other mastopexies we have tried, while producing breasts with excellent contour and position, and nor...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Fígallo E

    更新日期:1977-08-01 00:00:00

  • End-to-end versus end-to-side microvascular anastomosis patency in experimental venous repairs.

    abstract::In this experimental study, venous end-to-end and end-to-side microvascular anastomoses in similar and diameter-discrepant vessels were compared. In 50 rats, end-to-end microvascular repair of the divided epigastric vein and end-to-side repair of the epigastric vein into the femoral vein showed 5-day patency rates of ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bas L,May JW Jr,Handren J,Fallon J

    更新日期:1986-03-01 00:00:00

  • A cost-utility analysis of the use of preoperative computed tomographic angiography in abdomen-based perforator flap breast reconstruction.

    abstract:BACKGROUND:Computed tomographic angiography is a diagnostic tool increasingly used for preoperative vascular mapping in abdomen-based perforator flap breast reconstruction. This study compared the use of computed tomographic angiography and the conventional practice of Doppler ultrasonography only in postmastectomy rec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Offodile AC 2nd,Chatterjee A,Vallejo S,Fisher CS,Tchou JC,Guo L

    更新日期:2015-04-01 00:00:00

  • The differing effects of isoxsuprine on muscle flap and skin flap survival in the pig.

    abstract::The pretreatment of pigs with isoxsuprine for two weeks resulted in a significant increase in the surviving length of sartorius muscle flaps when compared with untreated flaps on the same animal. However, there was no improvement in the surviving length of neurovascular island skin flaps when these animals were treate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cherry GW

    更新日期:1979-11-01 00:00:00

  • The effect of low-energy laser on skin-flap survival in the rat and porcine animal models.

    abstract::Low-energy lasers are currently being used in the therapy of rheumatoid arthritis, chronic pain, muscle strain, and the promotion of wound healing in human and veterinary medicine. This study examined the effects of low-energy laser on skin-flap survival in a controlled interspecies study using the rat and porcine mod...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Smith RJ,Birndorf M,Gluck G,Hammond D,Moore WD

    更新日期:1992-02-01 00:00:00

  • Comparison of skeletal and soft-tissue changes following unilateral mandibular distraction osteogenesis.

    abstract:BACKGROUND:The purpose of this study was to investigate the relationship between soft-tissue and underlying skeletal structures before and after unilateral mandibular distraction osteogenesis. METHODS:The sample consisted of 11 patients (three girls and eight boys) with an average age of 4.6 years at the time of treat...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Altug-Atac AT,Grayson BH,McCarthy JG

    更新日期:2008-05-01 00:00:00

  • Needle aspiration and pressure sutures for auricular pseudocyst.

    abstract::Auricular pseudocyst is an asymptomatic cystic swelling of the upper portion of the auricle. Various therapeutic approaches have been employed with variable success. We report our results with nine patients treated by needle aspiration and bolstered pressure sutures applied over both aspects of the cyst for 1 week. Tr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ophir D,Marshak G

    更新日期:1991-04-01 00:00:00

  • Arterial supply of the anterior ear.

    abstract::Twenty cadaver auricles were injected with a latex solution to define the arterial supply of the anteroauricular surface. Two arterial networks exist, the network of the triangular fossa-scapha and the network of the concha. Both eventually communicate on the anthelix. The triangular fossa-scapha network originates fr...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Park C,Lineaweaver WC,Rumly TO,Buncke HJ

    更新日期:1992-07-01 00:00:00

  • Head and neck reconstruction with the latissimus dorsi myocutaneous flap: anatomic observations and report of 60 cases.

    abstract::The latissimus dorsi myocutaneous flap can be employed successfully in head and neck reconstruction when the size or nature of the defect precludes the use of local or regional flaps. Generous amounts of hairless skin and muscle may be transferred in one operative procedure while producing an acceptable donor defect. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Barton FE Jr,Spicer TE,Byrd HS

    更新日期:1983-02-01 00:00:00

  • Structural fat grafting: more than a permanent filler.

    abstract::Grafted fat has many attributes of an ideal filler, but the results, like those of any procedure, are technique dependent. Fat grafting remains shrouded in the stigma of variable results experienced by most plastic surgeons when they first graft fat. However, many who originally reported failure eventually report succ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Coleman SR

    更新日期:2006-09-01 00:00:00

  • Blood flow in mobilized nerves: results in a rabbit sciatic nerve model.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Maki Y,Firrell JC,Breidenbach WC

    更新日期:1997-09-01 00:00:00

  • The Cognitive Profile of Children with Nonsyndromic Craniosynostosis.

    abstract:BACKGROUND:Long-term neuropsychological and cognitive outcomes in patients with nonsyndromic craniosynostosis have proven difficult to evaluate objectively because of methodologic problems with published studies based on their small and biased samples of patients, wide age ranges, and testing with unacceptable psychome...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kljajić M,Maltese G,Tarnow P,Sand P,Kölby L

    更新日期:2019-05-01 00:00:00

  • A reinvestigation of murine cranial suture biology: microcomputed tomography versus histologic technique.

    abstract:BACKGROUND:Histology remains the standard form to analyze cranial suture in murine models, but this technique provides only limited "snapshots" of the entire suture and requires animal euthanasia with tissue destruction. Because of the bone complex microarchitecture, better methods are required to study the behavior of...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Stadler JA 3rd,Cortes W,Zhang LL,Hanger CC,Gosain AK

    更新日期:2006-09-01 00:00:00

  • Holoprosencephaly and midline facial anomalies: redefining classification and management.

    abstract::Holoprosencephaly encompasses a series of midline defects of the brain and face. Most cases are associated with severe malformations of the brain which are incompatible with life. At the other end of the spectrum, however, are patients with midline facial defects and normal or near-normal brain development. Although s...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Elias DL,Kawamoto HK Jr,Wilson LF

    更新日期:1992-12-01 00:00:00

  • What's New in Acellular Dermal Matrix and Soft-Tissue Support for Prosthetic Breast Reconstruction.

    abstract::Of the nearly 90,000 implant-based breast reconstructions performed in the United States, the majority use internal soft-tissue support. Aesthetically, these constructs may allow for better positioning of prosthesis, improve lower pole expansion, and increase projection. They may have particular utility in direct-to-i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Kim JYS,Mlodinow AS

    更新日期:2017-11-01 00:00:00

  • Analysis of fiber type transformation and histology in chronic electrically stimulated canine rectus abdominis muscle island-flap stomal sphincters.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Majzoub RK,Bardoel JW,Maldonado C,Barker JH,Stadelmann WK

    更新日期:2003-01-01 00:00:00

  • Clinical applications of the subgaleal fascia.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Carstens MH,Greco RJ,Hurwitz DJ,Tolhurst DE

    更新日期:1991-04-01 00:00:00

  • Use of the vascularized free fibula graft with an arteriovenous loop for fusion of cervical and thoracic spinal defects in previously irradiated pediatric patients.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Jandali S,Diluna ML,Storm PB,Low DW

    更新日期:2011-05-01 00:00:00

  • Latissimus dermal-epidermal nipple reconstruction.

    abstract::Nipple reconstruction by dermal-epidermal advancement flaps from the latissimus dorsi skin island was performed in 10 consecutive patients. There was no tissue loss and the nipples are still prominent 16 months after operation. The technique avoids further donor-site distortion and benefits from the use of available t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Barton FE Jr

    更新日期:1982-08-01 00:00:00

  • Patterns of vascular anastomoses vs. success of free groin flap transfers.

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    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Goodstein WA,Buncke HJ Jr

    更新日期:1979-07-01 00:00:00